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The concealed penis: the "two-corner" surgical technique.
Paolo Caione1, Yuri Cavaleri2, Simona Gerocarni Nappo3
1Department of Urological Surgery, Bambino Gesù Children's Hospital and IRCCS, Rome, Italy - paolo.caione@opbg.net.
Minerva Urology and Nephrology
|November 7, 2019
Summary
The "two-corners" technique offers a standardized surgical solution for concealed penis, achieving high patient satisfaction and stable long-term results in pediatric cases.
Area of Science:
- Pediatric Urology
- Genitourinary Surgery
- Congenital Abnormalities
Background:
- Concealed penis is an uncommon genital abnormality requiring surgical intervention.
- Existing surgical techniques lack universal acceptance.
- A novel standardized approach is presented for concealed penis and penoscrotal webbing.
Purpose of the Study:
- To present and evaluate a novel standardized surgical technique for concealed penis.
- To assess the efficacy and outcomes of the
- two-corners
- technique in pediatric patients.
Main Methods:
- The
- two-corners
- technique involves midline penoscrotal incision, chordee release, and penile shaft degloving.
- The penoscrotal junction is reconstructed, anchoring dartos corners to peripubic tissue.
- Z-plasty at the penoscrotal angle ensures tension-free coverage, avoiding circumcision if unnecessary.
Main Results:
- Forty-nine pediatric patients (age 3-14 years) underwent the procedure.
- Penile lengthening ranged from 1 to 2.5 cm (median 1.8 cm).
- High parental satisfaction (92%) was reported, with stable long-term outcomes (median follow-up 7.3 years).
Conclusions:
- The
- two-corners
- technique provides an effective and straightforward correction for concealed penis.
- It is suitable for both congenital and acquired cases.
- The procedure can be performed outpatient with durable results.
